Boys & Girls Clubs of the Blue Ridge- Clearview

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Medication 1 did not have a label to include the child’s name, the dosage amount and the time or times to be given. Medication 2 did not have a label to include the child’s name, the dosage amount and the time or times to be given.”

Rule 8VAC20-780-510-G.

The center shall obtain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction, for each child with a diagnosed food allergy.

“Child 1 (age 5 years) has a diagnosed food allergy; there was not a written care plan available for Child 1.”

Rule 8VAC20-780-60-A-8.

Repeat violation

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and shall have been completed within the last 30 days of employment. There was no documentation of a TB screening for Staff 5, who has been employed for 21 months.”

Rule 8VAC20-780-160-A.

Harmful agents shall not be stored in areas that are accessible to children.

“There was a set of keys, with a canister of pepper spray attached to them, laying on the front table of the classroom. Children, ages 3-4 years, were observed in this area of the classroom, and the set of keys was accessible to the children”

Rule 8VAC20-780-280-H.

Repeat violation

“The required ratio for children 3 years old up to school age eligible is one staff per 10 children. There were 2 staff members supervising 24 children, ages 3 years-4 years, for approximately 35 minutes; 3 staff were required for this group of children.”

Rule 8VAC20-780-350-B-4.

Tables shall be sanitized before and after each use for feeding.

“The tables were not sanitized after being used for the afternoon snack. Children immediately resumed normal activities at the tables following the afternoon snack.”

Rule 8VAC20-780-560-J.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and shall have been completed within the last 30 days of employment.

“There was no documentation of a TB screening for Staff 3; Staff 1 has been employed for 15 months.”

Rule 8VAC20-780-160-A.

The required ratio for children 3 years old up to school age eligible is one staff per 10 children.

“On 05/15/2025, there were 3 staff members supervising 33 children, ages 3 years-4 years, for approximately 1 hour; 4 staff were required for this group of children.”

Rule 8VAC20-780-350-B-4.

Based on record review and discussion with staff, the center failed to ensure that every employee of a licensed child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter.

“Evidence: The most recent criminal record check for Staff 1 was dated 01/28/2019; there was not a follow-up criminal record check obtained by 01/28/2024.”

Rule 22.1-289.035-A.

Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards.

“Evidence: The record for Staff 4 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment; there was only one reference check in the record.”

Rule 8VAC20-780-70.

Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The children were observed broken into 3 groups of children. There was only one written record of daily attendance. There was not an attendance record for each group of children.”

Rule 8VAC20-780-80-A.

Based on document review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: The record for Staff 1 contained a documented hire date of 08/16/2023. The employment eligibility letter was dated 08/28/2023.”

Rule 22.1-289.035-B-2.

Based on record review and discussion with staff, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 4 contained documentation that Staff 4 had resided outside of the state of Virginia within the preceding five years. The record for Staff 4 contained a documented hire date of 10/02/2023. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 12/07/2023 inspection.”

Rule 22.1-289.035-B-4.

Repeat violation

Rule 8VAC20-780-340-F.

Based on observation and staff interviews, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: The children were observed using hand sanitizer after eating their afternoon snack. The children did not wash their hands with soap and running water or disposable wipes after eating a snack.”

Rule 8VAC20-780-500-A.

Based on record review, the center failed to obtain a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: The most recent tuberculosis screening in the record for Staff 4 was dated 01/25/2021. There was not a follow-up screening for 2023 available for review.”

Rule 8VAC20-780-160-C.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within sight and sound supervision of staff.

“Evidence: Child 4, determined to be 4 years old, was observed leaving the classroom and going down the hall to the restroom. The staff were unaware that Child 4 had left the room until the child returned to the classroom and it was brought to their attention by the licensing inspector. Child 4 was not within sight and sound supervision of staff during the time that they were out of the classroom.”

Rule 8VAC20-780-340-F.

Repeat violation

Rule 8VAC20-780-60-A.

Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There was an aerosol container of Lysol spray, an aerosol container of disinfectant spray and a plastic spray bottle labeled ?Lemon Disinfectant? on top of the children’s cubbies that were unlocked and accessible to the children.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that when hazardous substances are not kept in the original containers, the substitute container shall clearly indicate their contents.

“Evidence: There was an unlabeled black plastic spray bottle, which contained a liquid solution, on top of the children’s cubbies in the same location as cleaning supplies.”

Rule 8VAC20-780-280-G.

Based on record review and discussion, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.

Rule 8VAC20-780-60-A.

Based on discussion, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks.

“Evidence: Staff 4 stated that children’s hands are not washed with soap and running water or a disposable wipe after snack. The children use the hand sanitizing station after snack instead of soap and running water or a disposable wipe.”

Rule 8VAC20-780-500-A.

Based on observation and discussion with staff, the center failed to maintain the required nonmedical emergency supplies.

“Evidence: There was not a working, battery-operated radio available during the 02/15/2022 inspection.”

Rule 8VAC20-780-540-E.

Based on document review and discussion with staff, the facility failed to document all of the required elements when implementing a monthly practice evacuation drill.

“Evidence: The documentation for the January 2022 drill did not contain the following information: the method used for notification of the drill; the number of staff participating; any special conditions simulated; and weather conditions for emergency evacuations.”

Rule 8VAC20-780-550-G.

Based on record review and discussion with staff, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children.

“Evidence: The written record of daily attendance for each group of children did not document the arrival and departure of each child as it occurred.”

Rule 8VAC20-780-80-A.